Abstract | BACKGROUND: METHODS: We prospectively analyzed 257 patients including 103 patients with delirium. The patients were divided into two groups according to whether delirium was present. The outcome measures were postoperative delirium, the length of the Intensive Care Unit stay, and the duration of hospital stay. Multivariable Cox competing risk survival models was used to assess. RESULTS: A total of 257 subjects were enrolled, including 103 patients with delirium. There were statistically significant differences between the two groups in body mass index, history of cardiac surgery, first admission blood glucose, white blood cell counts, Acute Physiology and Chronic Health Evaluation II score, hypoxemia, mechanical ventilation duration, and the length of Intensive Care Unit stay(P < 0.05). The delirium group exhibited significantly higher values of the mean of blood glucose (MBG) and the standard deviation of blood glucose (SDBG) than in the non- delirium group(P < 0.05). In model 1, the adjusted hazard ratio (AHR) of the standard deviation of blood glucose was 1.436(P < 0.05). In Model 2, the standard deviation of blood glucose (AHR = 1.418, 95%CI = 1.195-1.681, P < 0.05) remained significant after adjusting for confounders. The area under the curve of the SDBG was 0.763(95%CI = 0.704-0.821, P < 0.01). The sensitivity was 81.6%, and the specificity was 57.8%. CONCLUSIONS:
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Authors | Yan-Juan Lin, Ling-Yu Lin, Yan-Chun Peng, Hao-Ruo Zhang, Liang-Wan Chen, Xi-Zhen Huang, Qiong Chen |
Journal | Journal of cardiothoracic surgery
(J Cardiothorac Surg)
Vol. 16
Issue 1
Pg. 82
(Apr 15 2021)
ISSN: 1749-8090 [Electronic] England |
PMID | 33858463
(Publication Type: Journal Article, Observational Study)
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Chemical References |
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Topics |
- Acute Disease
- Adult
- Aortic Dissection
(blood, surgery)
- Blood Glucose
(analysis)
- Cardiac Surgical Procedures
(adverse effects)
- Cardiovascular Surgical Procedures
(adverse effects)
- Delirium
(blood, diagnosis, etiology)
- Female
- Humans
- Intensive Care Units
- Length of Stay
- Male
- Middle Aged
- Prognosis
- Proportional Hazards Models
- Prospective Studies
- Risk Factors
- Survival Analysis
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